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South Dakota rates for HCPCS 49465

Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report

Facilitymedian $135 · 10th–90th $28–$2,2910%10%10th90th$135Professionalmedian $120 · 10th–90th $28–$2950%5%10%10th90th$120$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $134.90 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $66.07 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $229.09 / $407.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $147.91 / $316.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $288.40 / $501.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $251.19 / $363.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $316.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $208.93 / $275.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $89.13 / $380.19
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $69.18 / $316.23